HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 12/1/21 Permit Number:
91ro ILUCHE
Q..O .o_361D
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Extension of existing concrete slab
PROPOSED IMPROVEMENT LOCATION:
Address: 3416 Fedwinkle Ct Port St Lucie 34952
Property Tax ID #: 3425-703-0346-000-9 Lot No.31
Site Plan Name: Block No. 30
Project Name:
DETAILED DESCRIPTION OF WORK:
Extend existing patio 2'3" x 10 and 8'x10'
4" thick 3000 psi with fiber
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 100
Cost of Construction: $ 2100
—Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OW N ERXESSEE:
CONTRACTOR:
Name Raymond Fitzgerald
Name: Jose Vides
Address:3416 Fedwinkle Ct
Company:JosB Concrte Perfection
City: Port St Lucie State: _
Address:383 SW North Shore Blvd
Zip Code: 34952 Fax: None
City: Port St Lucie State: FL
Phone No.7728125066
Zip Code: 34986 Fax: None
E-Mail: None
Phone N07722406170
Fill in fee simple Title Holder on next page ( if different
E-Maillosbconcreteperfection@hotmail.com
from the Owner listed above)
State or County License25230
it value of construction is Z500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,S00 or more, a RECORDED Notice of Commencement is required.
t
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in
which conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneybefore commencingwork or recording our Notice of Commencement.
ev.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Signature ner/ Less ntract as Agent for Owner
Signature of C ntr for/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF F ORID _
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Prese a or Online Notarization
Physical Prese ce or Online Notarization
this day of 2020 by
this